A very common question I get asked is “Do I need to extract the tooth first before making a CEREC Guide for an Immediate Case?” And again, I have been spreading misinformation! I have been advising extracting first then imaging, well you know with Omnica that if there is a ton of bleeding the CEREC flips out and won’t take the scan! Well looky here, I did a case where I did not extract the tooth and just allowed CEREC Guide to place the sleeve, worked great! This is a patient I retreated #2 and he continued to have pain for about 6 months and just couldn’t stand it. Gave the option of referral to Endo for another retreat or ext and do an implant. #3 worked out well so he opted for me to do it. Just draw a margin anywhere and let CEREC give you a smooshy crown and export as an SSI.
Now this is important, in the design screen you have an option to SUPPORT LEAVE or SUPPORT GRIND OUT. Hit Leave as grind out will grind the sleeve to fit over the tooth. As you can see from the intaligo of the guide we have our sleeve and CEREC Guide virtually extracted 2
I though for sure I would have to adjust around #3 but no, fits perfectly. Note the guide sleeve even has some support distal to #2.
Super smooth surgery, I did not flatten and drill through the tooth as I wanted my implant a little distal due to the huge 7mm implant in 3 position would be too close if I was through the furcation.
Did that membrane trick with putting the cover screw through the membrane after packing some DFDBA. Tried to do A-PRF but his veins would not let us. Overall a pretty straight forward case, CEREC Guide 2 makes it too easy!